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Hayfever (seasonal allergic rhinitis) ... as of southern England. The best places for hayfever sufferers to live are coastal areas of the UK, and mountain and moorland areas, where pollen counts are lower. Like other allergic diseases (e.g. asthma), the incidence of allergic rhinitis is rising worldwide, with possible reasons for this including changes in diet, use of antibiotics, pollution (such as cigarette smoke and car exhaust fumes) and c ... Date: 28-04-2009 Categories: • Clinical
Pollen counts and climate change ... for hay fever will continue to rise for the foreseeable future. References Björkstén et al (2008). Worldwide time trends for symptoms of rhinitis and conjunctivitis: Phase III International study of asthma and Allergies in Childhood in Pediatr Allergy Immunol; 19: 110-124. Devenny et al (2004) Atopy in Aberdeen school children over 35 years. BMJ; 329: 489-490. Emberlin J. ‘Grass , tree and weed pollen’ ... Date: 29-04-2009 Categories: • News
For want of a placebo ... There is certainly plenty of justification for helping overweight patients: weight loss can lower blood pressure, normalise blood lipids, practically eliminate type 2 diabetes, reduce the severity of asthma, bring relief to arthritics, increase fertility, relieve sleep apnoea, provide an opportunity for patients to be considered for elective surgery, decrease the need for antidepressants, make exercise ... Date: 29-04-2009 Categories: • News
Sound advice for seasonal sneezes ... steroid nose sprays remain a relatively untapped sector (despite being dubbed the most effective class of medication for the treatment of allergic rhinitis by the Allergic Rhinitis and its Impact in asthma [ARIA] working party). Overall, more than one million new people bought into allergy in 2006, supporting the projection that long-term allergy incidence is set to grow. A key role for pharmacists Acr ... Date: 01-05-2009 Categories: • News
Understanding nocturnal enuresis ... nuresis, is more common than most people might think; about 20 per cent of four-year-olds and 10 per cent of eight-year-olds wet the bed at least twice a week. The condition is almost as prevalent as asthma in children[1]. But the stigma attached to bedwetting means that parents sometimes avoid seeking professional guidance. Often embarrassed, or because they feel nothing can be done, they wait for thei ... Date: 01-05-2009 Categories: • News
Throwing money at UK obesity ... nagement. There is certainly plenty of justification for helping overweight patients. Weight loss can lower blood pressure, normalise blood lipids, help tackle type 2 diabetes, reduce the severity of asthma, bring relief to arthritics, increase the fertility of women hoping for pregnancy, cure sleep apnoea, provide an opportunity for patients to be considered for elective surgery, decrease the need for ... Date: 01-05-2009 Categories: • News
Brush up on lice ... gs. Traditionally these have centred around four chemical insecticides that are licensed as head lice treatments - malathion, phenothrin, permethrin and carbaryl. However, fuelled by scare stories of asthma attacks and allergic reactions triggered by strong smelling chemicals and theories that the lice have become immune to some of these chemicals, 61% of parents6 say they are now looking for a non-toxi ... Date: 19-11-2009 Categories: • News
Philips Respironics ... compact and reliable nebuliser systems for home and travel, suitable for people with COPD and other respiratory conditions. Philips Respironics also specialise in products for people who suffer with asthma. The following patient-friendly asthma products are available now on FP10 to prescribe to both adults and children:   Personal Best – peak flow meter with integrated asthma self-management system Op ... Date: 08-03-2010 Categories: • Company Profiles
Sound advice for seasonal sneezes ... steroid nose sprays remain a relatively untapped sector (despite being dubbed the most effective class of medication for the treatment of allergic rhinitis by the Allergic Rhinitis and its Impact in asthma [ARIA] working party). Overall, more than one million new people bought into allergy in 2006, supporting the projection that long-term allergy incidence is set to grow. A key role for pharmacists Acr ... Date: 05-08-2011 Categories: • Community
The BNF: a national institution ... nd information on which drugs' doses have changed in the latest edition? Inwhat order are side effects listed? Where will you find information on converting from morphine doses to fentanyl doses? BNF asthma tables are based on which guideline? Where will you find a creatinine clearance calculator Where will you find information on electrolyte content of drug? Where will you find phone numbers for medici ... Date: 06-10-2011 Categories: • News
Improving medicines use ... ear, with net savings of around £150m possible from investing resources in tackling waste. More importantly however, this report also suggested £500 million worth of extra value could be generated in asthma, diabetes, high blood pressure, vascular disease and schizophrenia if medicines were used in the most optimal manner. This is the significant bit – the really big wins are to be had by supporting pat ... Date: 07-10-2011 Categories: • News
Eczema management A child with atopic eczema is more likely to go on to develop other atopic conditions such as asthma and allergic rhinitis (the so-called ‘atopic march’). Eczema is diagnosed in about 20 per cent of children during their first year of life and most children who are affected will have developed sympt ... Date: 11-10-2011 Categories: • Clinical • Dermatology and wound care
Lower respiratory tract infections ... gh, with or without sputum production that lasts up to three weeks. A diagnosis is usually made if there is no clinical or x-ray evidence of pneumonia, and a diagnosis of a common cold, pneumonia and asthma has been excluded. This contrasts with community acquired pneumonia, which is defined as symptoms of an acute lower respiratory tract illness (cough and at least one other lower respiratory tract ... Date: 12-10-2011 Categories: • Clinical • Vaccinations and infections
New medicine service to launch in October   The new medicines service is designed to improve adherence to newly prescribed medicines among people with long-term conditions and will initially focus on patients with asthma and COPD, type 2 diabetes, hypertension, and those on antiplatelet or anticoagulant therapy. NMS is time-limited until March 2013 and will only continue beyond that time if it provides demonstrable v ... Date: 15-12-2011 Categories: • News
Pharmacy practice in the Armed Forces ... pharmacy, which is predominantly trauma-based. Military personnel are generally young and fit and therefore medical conditions are less common. However, there are still unexpected diabetic episodes, asthma attacks and infectious diseases to deal with. This requires the deploying pharmacist to be a ‘generalist’ rather than a specialist in any one area. The nuances of an operational tour are probably ... Date: 09-05-2012 Categories: • News
Vitamin D – ... ked to many different diseases, including arthritis, some cancers, fibromyalgia, multiple sclerosis and rickets. Further studies have found moderate evidence of links with other diseases, for example asthma, the common cold, depression, Parkinson’s disease and stroke. Vitamin D deficiency has been brought into the health and media spotlight really quite suddenly over the last decade as relatively recent ... Date: 09-05-2012 Categories: • News
asthma treatment 'wasted' More than £1m adults in the UK are receiving unneeded treatment for asthma. Of the 4.1m people receiving treatment for asthma, 30% of them do not present symptoms of asthma, claim the National Institute for Health and Care Excellence (NICE). A spirometer, which measures how ... Date: 28-01-2015 Categories: • Clinical • News • Respiratory
Mystery Patient in Birmingham ... er the past couple days I had had some heavy moments of dizziness and I was concerned, as I had not experienced this before. Mohammed asked me a number of quick-fire questions relating to me being asthmatic, diabetic and on any medication – to which I answered no to all. He asked whether I had any blackouts as a result of the dizziness and I said I had not. Mohammed asked if the dizziness was more pr ... Date: 19-02-2015 Categories: • Respiratory
NEWS IN BRIEF: Trust Overspend; Liverpool GPs; Swine Flu; Paperless NHS; Poultry Farmers ... for flu has increased but the number of positive cases dropped slightly during the last week in January. The flu can be dangerous for vulnerable people and those with underlying conditions such as asthma, bronchitis and emphysema, or serious kidney disease. 150 new cases of #SwineFlu in Northern Ireland in past 4 weeks https://t.co/ehmXRhSAI3 — Belfast Telegraph (@BelTel) February 8, 2016 NHS to ... Date: 08-02-2016 Categories: • News
PSNC proposes pharmacy’s future ... roviding the national flu vaccination service and having access to secondary care records. Pharmacists would provide enhanced care including assessing CAT and ACT scores for patients with COPD and asthma, frailty and falls assessments. Pharmacies would also have to work towards a Healthy Living Pharmacy equivalent accreditation with an ongoing requirement to ensure accreditation is maintained. ... Date: 09-02-2016 Categories: • News
Easy on the eyes ... an be affected by seasonal allergic conjunctivitis but there are some factors that predispose individuals to the condition, namely having a history of, or current allergic disease, such as hay fever, asthma, eczema or food or drug allergy, or having a first degree relative who is atopic. The main presenting symptoms have already been touched upon – itchy eyes, redness and watering – and are often acc ... Date: 29-02-2016 Categories: • News
NEWS IN BRIEF: Boots; Inverness Outrage; Penryn; PReP; Snacks; asthma; Junior Doctors ... ocolate as a snack in December fell by nine percentage points from the previous year to 59 per cent. The number who ate crisps fell by 10 points to 57 per cent, according to a survey by Mintel. asthma 'over-diagnosed and trivialised' Too many children are being incorrectly diagnosed with asthma, with inhalers being dispensed for no good reason and becoming almost "fashion accessories", say two ... Date: 06-04-2016 Categories: • News
NEWS IN BRIEF: Hull GP Suspended; Welsh Pharmacies; Yoga; Obesity; Scottish GP Crisis; Wales Vision ... o use clinical pharmacists in primary care settings such as GP practices; thus reducing funding to community pharmacies and placing their role within the health system at jeopardy. Yoga could help asthma sufferers, research finds Practising yoga could help asthma suffers breathe more easily, The Independent reports. The Cochrane Review – an international healthcare non-profit organisation – sug ... Date: 29-04-2016 Categories: • News
NEWS IN BRIEF: Boots; Pensioners; Morphine; Hayfever; Wary GPs ... ments as temperatures soared to 25 degrees. Head of pharmacy Alastair Farquhar said: "As a big rural county we do have quite high levels of hay fever sufferers and we also have quite high rates of asthma as well. "This last week we've seen a sharp rise in people going into pharmacies asking for treatments for hay fever symptoms.” High pollen counts today - bad news for many in Lincolnshire a ... Date: 10-05-2016 Categories: • News
NEWS IN BRIEF: Embezzled Cash; asthma Clinics; Fake Viagra; Day Lewis; Pharmacy Cuts; Statins Glitch ... iming it went missing. COURT: Woman embezzled money from village pharmacy https://t.co/XD27uNP9UU #scalloway #shetland #sheriffcourt — Shetland News (@Shetnews) May 11, 2016 Tenby pharmacy holds asthma clinics to raise awareness of proper inhaler techniques The Evans Pharmacy group is launching a series of in-house support clinics to offer asthma suffers advice and guidance on proper inhaler tec ... Date: 12-05-2016 Categories: • News
Vitamin D 'halves risk of severe asthma attacks' Vitamin D supplements are ‘likely’ to reduce severe asthma exacerbations when taken alongside standard medication, according to the authors of a new gold-standard review. The researchers, from the Queen Mary University of London, found that giving an oral ... Date: 23-09-2016 Categories: • Clinical • Latest News • News • Respiratory
Big pharma company labels new asthma guidelines as 'cost-driven' Patients with severe asthma could have their medication changed following proposed NICE guidelines that have been criticised as ‘short-term’ and ‘cost-driven’ by a pharmaceutical manufacturer. The National Institute for He ... Date: 14-02-2017 Categories: • Clinical • Latest News • News • Respiratory
New resources for pharmacists with respiratory patients ... ents with respiratory illnesses focused on their understanding of their medicines and promoting healthy lifestyles. It is hoped that the guide could help improve inhaler technique and adherence in asthma patients. Prescribing inhaled medication in the UK costs nearly £1bn a year. [box type="shadow" ] Questions for patients with respiratory illness Can you show me how you take your inhaler? ... Date: 22-02-2017 Categories: • Respiratory
How to earn funds from the Quality Payments Scheme ... months are publicly available Is a Healthy Living Pharmacy level 1 Total increase in access to Summary Care Records NHS 111 Directory of Services entry is up to date Evidence of referring asthma patients for review 80% of staff working in patient facing roles are trained ‘Dementia Friends’ Applicants will be evaluated by NHS England, including through questions during the evaluation an ... Date: 01-03-2017 Categories: • Latest News • News
Managing atopic eczema in community pharmacy ... hich is descriptively more specific – and is red, itchy and dry as a result. The word ‘atopic’ means that the condition is allergic in origin, and those who have it are likely to also have hay fever, asthma or both. There is a strong genetic element to atopic eczema, with nearly 60% of children experiencing it if one of their parents is affected, rising to over 80% if both parents are affected.1 A ch ... Date: 06-03-2017 Categories: • Clinical • Dermatology and wound care • News
GPs set to take half a million COPD patients off steroid inhalers ... ithdrawing it in a controlled manner.’ However, GP respiratory experts cautioned that the decision to stop steroid therapy requires very careful assessment – in particular to check for overlapping asthma. Dr Mark Levy, GPSI in respiratory medicine in North West London, said that while he agreed that the GOLD approach reflected the best evidence-based approach, 'there should be a “health warning” w ... Date: 07-04-2017 Categories: • Clinical • News • Respiratory
The complexity of COPD and medication adherence ... nt skill in the use of metered dose inhalers; a multicentric study. CESEA Group. Respiration 1998;65:195-8. 14. De Oliveira MA, Bruno VF, Ballini LS et al. Evaluation of an educational program for asthma control in adults. J asthma 1997;34: 395-403. 15. Matteo B, Usmani O. The importance of inhaler devices in the treatment of COPD Biomed Central The open access publisher. COPD Research and Practic ... Date: 07-04-2017 Categories: • Clinical • News • Respiratory
Managing allergic conditions in community pharmacy ... oms – eg in chronic spontaneous urticaria. Although these doses should be prescribed, it is important to provide reassurance that they are safe and within national guidelines. Potential to develop asthma Allergic conditions commonly co-exist, specifically asthma and allergic rhinitis. Allergic rhinitis is also a known risk factor for the development of asthma, which should flag as a clinical suspi ... Date: 21-04-2017 Categories: • Latest News • News
Spotting acid reflux and what to recommend ... any time of day - even waking the sufferer at night.  Some very specific medical conditions are associated with reflux, such as rheumatoid arthritis or other similar diseases, and some patients with asthma or chronic breathing disorders can also suffer with acid reflux. Lifestyle/other clinical factors contributing to acid reflux Obesity, smoking and being pregnant are common promoters of reflux. ... Date: 28-04-2017 Categories: • Clinical • Latest News • News • Nutrition and gastroenterology
Are mistakes inevitable for overworked healthcare professionals? ... ption, then doctors would be a lot happier and patients a lot safer. But the reality is very different. As soon as I open the patient record, I’m confronted by a prompt cajoling me into doing this asthma review, that blood pressure check and the other Q-risk score to satisfy QOF. Then there’s a reminder that the patient’s eligible for the flu and shingles jabs. Plus a message in the journal that the ... Date: 15-06-2017 Categories: • News • Views
Pharmacy management of acne vulgaris ... gh acne is considered by many as a trivial disease that adolescents grow out of, research suggests that the impairment in quality of life is comparable to the impact of other chronic diseases such as asthma, epilepsy and arthritis.[5] Pharmacists have an important role to play in facilitating effective self-care for those with mild to moderate-severity acne because over-the-counter topical treatments ar ... Date: 16-06-2017 Categories: • Clinical • Dermatology and wound care
PSNC: Pharmacies can help prevent NHS winter crisis ... medicines prescribed for them while in hospital and provide advice so they can look after themselves properly to avoid readmission. 'Pharmacies can also help people with long-term conditions such as asthma to manage their conditions through winter, avoiding hospital admissions in the first place. A pharmacy respiratory support service could help prevent some of the 60,000 hospital admissions due to ast ... Date: 29-06-2017 Categories: • Latest News • News
Campaigners call for free prescriptions for all long-term sick ... with long-term conditions not included on the current exemption list, according to the coalition group. As a result, organisations such as Parkinson's UK, National Rheumatoid Arthritis Society and asthma UK said the list of medical exemptions is 'unfair' and 'out of date'. An unfair system? Neal Patel, from the Royal Pharmaceutical Society (RPS), agrees that the current system is arbitrary and ... Date: 30-06-2017 Categories: • Latest News • News
MHRA: Patients with serious allergies should carry two adrenaline injectors ... e MHRA makes the following recommendations: Prescribe two adrenaline auto-injectors to patients with allergies, which they should carry at all times (particularly important if they have allergic asthma), Patients and carers must be trained to use the particular auto-injector they have been prescribed (as technique differs by device), Patients and carers should also practice using the injector ... Date: 18-08-2017 Categories: • Latest News • News
Chief pharmaceutical officer praises community pharmacy’s ‘excellent’ QPS response ... revolving around themes of clinical effectiveness, patient safety and patient experience. Some of the criteria include achieving healthy living pharmacy (HLP) accreditation, identifying high-risk asthma patients and pharmacy staff affiliated becoming trained Dementia Friends. Since April 2017, around 94% (10,985) of all 11,094 pharmacies in England have been eligible for a payment, according to i ... Date: 04-10-2017 Categories: • Latest News • News
Your need-to-know on childhood asthma The UK has one of the highest rates of asthma symptoms in children. So how can pharmacists support these families? Dr Andy Whittamore shares the key advice. asthma is a long-term condition that affects the airways. A person with asthma has se ... Date: 11-12-2017 Categories: • News
Clinical considerations when supplying emergency contraception ... t whether to seek an alternative. Is UPA or LNG contraindicated? Neither UPA nor LNG should be offered to women with severe liver dysfunction.2,3 UPA is not suitable for women who have severe asthma treated by oral glucocorticoids or those who have been using ritonavir long term.[2] For those women currently taking or have taken enzyme-inducing medicines in the last 4 weeks, a Cu-IUD should be f ... Date: 28-12-2017 Categories: • Clinical • News • Sexual health
Coughs: the patient problem that just won't shift ... dence based medicine, here goes: spit colour has only a very tenuous link with bacterial infection and not enough to direct treatment. I know, a-maz-ing). The exceptions are patients with COPD and asthma, though in that ideal world we don’t live in, they’d already have rescue packs and self-management plans, respectively. And patients who are breathless (as opposed to just bunged-up) and/or feverish ... Date: 08-01-2018 Categories: • Clinical • News • Vaccinations and infections
Improving healthcare outcomes through clinical pathways ... additional support to patients, pharmacies can reduce hospital admissions and ease some pressure off the system. The Isle of Wight reduced emergency admissions by 50% after its pharmacies provided asthma patients with more advice on how to better use their inhalers. Circulation and endocrine system Pharmacies can identify patients at high risk of developing diabetes 2, atrial fibrillation (AF ... Date: 09-01-2018 Categories: • News
'Pharmacists can prevent asthma attacks', says asthma UK 'Community pharmacists can help prevent people from having life-threatening asthma attacks', asthma UK has said. asthma UK’s head of policy and external affairs Daisy Ellis said that ‘while GPs should be the main port of call for asthma care, pharmacists often see people with as ... Date: 29-01-2018 Categories: • Clinical • News • Respiratory
Parents urged to take unwell children to pharmacies first ... heir community pharmacy making it a valuable first port of call for minor health worries, said NHS England. It is working with community pharmacies to increase their range of t services, including asthma audits and flu vaccinations, and promoting their clinical expertise. Launching the campaign, Dr Bruce Warner, England’s deputy chief pharmaceutical officer said: ‘[Pharmacists] can assess symptoms ... Date: 12-02-2018 Categories: • News
RPS president: 'Pharmacists should be part of STPs’ ... at ‘this inconsistency doesn’t help’. He added: ‘The lack of a nation-wide investment or the expectation from a national basis of what should be a common core in local is missing. ‘If you’re an asthmatic or diabetic in Bournemouth or Newcastle, you’re exactly the same, so how do we provide the same care for both patients? ‘We should have national templates of what quality services should look l ... Date: 13-02-2018 Categories: • News
GSK recalls inhalers over manufacturing concerns Manufacturer GlaxoSmithKline (GSK) is recalling two batches of Ventolin Accuhaler and one batch of Seretide Accuhaler asthma inhalers due to a manufacturing issue. GSK said that ‘a small number of Accuhaler devices may not deliver the full number of doses in the device’. The Seretide Accuhaler has been recalled as it ... Date: 22-02-2018 Categories: • News
Prescription charge increase ‘regrettable’, says PSNC ... be educated to takes responsibility to look after their own health better.’ Mr Patel said that the list of medical exemptions from prescription charges ‘should be increased with conditions such as asthma, which have seen fatalities due to various reasons ranging from poor control to inhaler running out’. ‘Broken system’ Mike Hewitson, superintendant pharmacist at Bedminster pharmacy in Dorset, ... Date: 24-02-2018 Categories: • Latest News • News
QPS: Pharmacies identify 12.5k high-risk asthma patients Thousands of high-risk asthma patients were identified as a result of   the Quality Payment Scheme (QPS), NHS data has revealed. Data published by NHS Business Services Authority (NHS BSA) showed that 11,020 pharmacies – out o ... Date: 16-03-2018 Categories: • Latest News • News

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